Form990-PF
Click to see attachment
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Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 10-01-2021 , and ending 09-30-2022
Name of foundation
HARLEY LANGDALE JR FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)115 W BROOKWOOD DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
VALDOSTA, GA31602
A Employer identification number

58-6033293
B Telephone number (see instructions)

(229) 333-2574
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$72,291,005
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 114,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 787,361 787,361  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,698,732
b Gross sales price for all assets on line 6a 1,698,732
7 Capital gain net income (from Part IV, line 2)... 1,698,732
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 2,203,125 2,197,273  
12 Total. Add lines 1 through 11........ 4,803,218 4,683,366  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 73,500 73,500    
14 Other employee salaries and wages...... 44,100 44,100    
15 Pension plans, employee benefits....... 8,996 8,996    
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 1,250 1,250    
c Other professional fees (attach schedule).... 380,251 380,251    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 163,228 163,228    
19 Depreciation (attach schedule) and depletion... 4,088 4,088  
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 31,449 31,449    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 706,862 706,862   0
25 Contributions, gifts, grants paid....... 3,872,586 3,872,586
26 Total expenses and disbursements. Add lines 24 and 25 4,579,448 706,862   3,872,586
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 223,770
b Net investment income (if negative, enter -0-) 3,976,504
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 221,945 447,434 447,434
2 Savings and temporary cash investments......... 662,835 4,114,411 4,114,411
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)..... 28,280,111 Click to see attachment27,018,560 27,018,560
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 39,020,755 Click to see attachment36,833,256 40,564,489
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet176,700
Less: accumulated depreciation (attach schedule) bullet30,589 150,200 Click to see attachment146,111 146,111
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 68,335,846 68,559,772 72,291,005
Liabilities 17 Accounts payable and accrued expenses.......... 2,503 2,659
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 2,503 2,659
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 68,333,343 68,557,113
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 68,333,343 68,557,113
30 Total liabilities and net assets/fund balances (see instructions). 68,335,846 68,559,772
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
68,333,343
2
Enter amount from Part I, line 27a .....................
2
223,770
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
68,557,113
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
68,557,113
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1a
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 1,698,732
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 55,273
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 55,273
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 89,060
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 89,060
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 805
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 32,982
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet32,982 RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletGA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletDONALD K WARREN Telephone no.bullet (229) 333-2574

    Located atbullet115 W BROOKWOOD DRIVEVALDOSTAGA ZIP+4bullet31602
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    JAMES H LANGDALE PRES/CHAIRMA
    000.00
    0 0 0
    PO BOX 1088
    VALDOSTA,GA316031088
    JOHN W LANGDALE JR V/P
    000.00
    0 0 0
    P O BOX 1088
    VALDOSTA,GA316031088
    JACKSON R LANGDALE DIRECTOR
    000.00
    0 0 0
    P O BOX 1088
    VALDOSTA,GA316031088
    GREGORY J MILLER DIRECTOR
    000.00
    0 0 0
    P O BOX 1088
    VALDOSTA,GA316031088
    LARRY K FUDGE DIRECTOR
    000.00
    0 0 0
    P O BOX 1088
    VALDOSTA,GA316031088
    CURTIS L PICKELS DIRECTOR
    000.00
    0 0 0
    302 E SCREVEN ST
    QUITMAN,GA31643
    DONALD K WARREN EXEC. DIR/SE
    40.00
    73,500 0 0
    115 W BROOKWOOD DRIVE
    VALDOSTA,GA31602
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    47,722,590
    b
    Average of monthly cash balances.......................
    1b
    6,689,142
    c
    Fair market value of all other assets (see instructions)................
    1c
    27,195,260
    d
    Total (add lines 1a, b, and c).........................
    1d
    81,606,992
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    81,606,992
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    1,224,105
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    80,382,887
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    4,019,144
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    4,019,144
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    55,273
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    55,273
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    3,963,871
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    3,963,871
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    3,963,871
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 3,963,871
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 3,863,619
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 3,872,586
    a Applied to 2020, but not more than line 2a 3,863,619
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount..... 8,967
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2021.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    3,954,904
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
     
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    DONALD K WARREN
    115 W BROOKWOOD DRIVE
    VALDOSTA,GA31602
    (229) 333-2574
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER FORM WITH EXPLANATION OF PROGRAMS AND NEEDS.
    cAny submission deadlines:
    NONE.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    100 BLACK MEN OF VALDOSTA INC
    401 E BRANCH ST
    VALDOSTA,GA31601
    NONE   TOY DRIVE 1,500
    ABAC FOUNDATION
    ABAC 13 2802 MOORE HWY
    TIFTON,GA317932601
    NONE   DESTINATION AG 175,000
    ABAC FOUNDATION
    ABAC 13 2802 MOORE HWY
    TIFTON,GA317932601
    NONE   WILLIS STILL PROPERTIES 200,000
    AMERICAN RED CROSS OF SOUTH GA
    509 N PATTERSON ST
    SUITE 201
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 4,000
    AUSTIN'S CATTLE COMPANY
    2101 W HILL AVE
    VALDOSTA,GA31601
    NONE   EDUCATION 10,840
    BGV FOUNDATION INC
    215 W NORTH ST
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 100,000
    BOYS & GIRLS CLUB OF VALDOSTA
    215 W NORTH ST
    VALDOSTA,GA31601
    NONE   BROOKS AQUATIC CENTER 125,000
    CITIZENS AGAINST VIOLENCE
    307 E JANE ST
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 5,000
    CITY OF VALDOSTA
    216 E CENTRAL AVE
    VALDOSTA,GA31601
    NONE   COMMUNITY BLOCK PARTY 2,500
    COASTAL PLAINS RESA
    245 N ROBINSON
    LENOX,GA31637
    NONE   GRAND BAY 75,000
    COMMUNITY FOUNDATION OF SOUTH GA
    500 WASHINGTON ST
    THOMASVILLE,GA31792
    NONE   UNRESTRICTED 42,000
    COOK CO EDUCATIONAL FOUNDATION
    1109 N PARRISH AVE
    ADEL,GA31620
    NONE   SCHOLARSHIPS 2,500
    ECHOLS FFA
    216 US HWY 129 NORTH
    STATENVILLE,GA31648
    NONE   UNRESTRICTED 1,000
    FAITH HOPE & LOVE CHRISTIAN MIN
    106 W THIGPEN AVE
    LAKELAND,GA31635
    NONE   UNRESTRICTED 20,000
    GEORGIA FORESTRY FOUNDATION
    PO BOX 1217
    FORSYTH,GA31029
    NONE   UNRESTRICTED 500,000
    GIRLS ON THE RUN
    PO BOX 30667
    PMB 65493
    CHARLOTTE,NC28230
    NONE   UNRESTRICTED 10,000
    HOSPICE OF SOUTH GEORGIA
    2263 PINEVIEW DRIVE
    VALDOSTA,GA31602
    NONE   MEMORIALS 3,500
    HOUSE OF HOPE
    2551 INDIAN FORD ROAD
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 10,000
    J LOMAX ELEMENTARY SCHOOL
    1450 HOWELL RD
    2403
    VALDOSTA,GA31601
    NONE   EDUCATIONAL OUTREACH PROGRAM 15,780
    JESUS & JAM CHARITIES OF CLINCH CO
    75 HAMPTON ST
    HOMERVILLE,GA31634
    NONE   UNRESTRICTED 10,000
    LAKE PARK HISTORICAL SOCIETY
    604 W MARION AVE
    LAKE PARK,GA31636
    NONE   GARDEN/AG EDUCATION 10,000
    LAMP INC
    714 CHARLTON ST
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 25,000
    LARC INC
    1646 E PARK AVE
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 106,000
    LOWNDES COUNTY EXTENSION SERVICES
    2102 E HILL AVE
    VALDOSTA,GA31601
    NONE   MASTER GARDENER CLASS 1,250
    LOWNDES ED IMPROVEMENT FOUNDATION
    1592 NORMAN DRIVE
    VALDOSTA,GA31601
    NONE   TEACHER/STUDENT PROGRAM SCHOLARSHIPS 12,500
    MIRACLE LEAGUE
    PO BOX 4512
    VALDOSTA,GA31604
    NONE   UNRESTRICTED 50,000
    MOULTON-BRANCH ELEMENTARY SCHOOLS
    5725 INNER PERIMETER ROAD
    VALDOSTA,GA31601
    NONE   EDUCATIONAL OUTREACH PROGRAM 9,901
    OPTIONS NOW
    214 W PARK AVE
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 20,000
    PINEVALE ELEMENTARY SCHOOL
    930 LAKE PARK RD
    VALDOSTA,GA31601
    NONE   EDUCATIONAL OUTREACH PROGRAM 5,000
    SOUTH STREET COMMUNITY CARE HOUSE
    1609 N PATTERSON ST
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 2,500
    SPECIAL OLYMPICS GEORGIA
    1133 19TH STREET NW
    WASHINGTON,DC200363604
    NONE   UNRESTRICTED 2,500
    ST JOHN THE EVANGELICAL CATHOLIC
    800 GORNTO RD
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 6,779
    THE GARDEN CENTER INC
    PO BOX 2423
    VALDOSTA,GA31604
    NONE   UNRESTRICTED 15,000
    THE HAVEN
    PO BOX 5382
    VALDOSTA,GA31603
    NONE   UNRESTRICTED 60,000
    THE MAILBOX CLUB
    404 EAGER ROAD
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 50,000
    UGA FOUNDATION
    394 SOUTH MILLEDGE AVE
    ATHENS,GA30602
    NONE   AGL - AG & FORESTRY 50,000
    UNITED WAY GREATER VALDOSTA
    1609 N PATTERSON STREET
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 100,000
    VALDOSTA CITY SCHOOLS FOUNDATION
    PO BOX 5407
    VALDOSTA,GA31603
    NONE   SCHOLARSHIPS 2,500
    VALDOSTA-LOWNDES YMCA
    2424 GORNTO RD
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 20,000
    VCS
    PO BOX 5407
    VALDOSTA,GA31601
    NONE   REACH 10,000
    VSU FOUNDATION
    1500 N PATTERSON ST
    VALDOSTA,GA31698
    NONE   ATHLETIC SUPPORT 75,000
    VSU FOUNDATION
    1500 N PATTERSON ST
    VALDOSTA,GA31601
    NONE   COLLEGE OF THE ARTS 10,000
    WGTC FOUNDATION
    4089 VAL TECH ROAD
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 200,000
    YOUTH IMPACT CENTER
    PO BOX 587
    LAKELAND,GA31635
    NONE   UNRESTRICTED 55,000
    SECOND HARVEST OF SOUTH GEORGIA
    1411 HARBIN CIR
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 250,000
    SGMC FOUNDATION
    2501 N PATTERSON ST
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 700,000
    BROOKS COUNTY SCHOOLS
    1081 BARWICK RD
    QUITMAN,GA31643
    NONE   AG EDUCATION DONATION 188,536
    SOUTH GEORGIA REGIONAL LIBRARY
    2906 JULIA DR
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 235,000
    LOWNDES COUNTY SCHOOLS
    1592 NORMAN DR
    VALDOSTA,GA31601
    NONE   MBE PERFECT ATTENDANCE 13,000
    ECHOLS COUNTY SHERIFF DEPARTMENT
    109 GENERAL DELOACH RD
    STATENVILLE,GA31648
    NONE   K-9 2,500
    SEGA FCA
    1709-A GORNTO RD
    VALDOSTA,GA31601
    NONE   PROPERTY & FENCE DONATION 80,000
    REACH GA FOUNDATION
    2082 E EXCHANGE PLACE
    TUCKER,GA30084
    NONE   TIFT CO DONATION 10,000
    CAMP VIOLA
    CAMP VIOLA RD
    LAGRANGE,GA30241
    NONE   UNRESTRICTED 20,000
    GEORGIA 4-H FOUNDATION
    300 SMITH ST
    ATHENS,GA30602
    NONE   UNRESTRICTED 30,000
    POSITIVE AMERICAN YOUTH
    7110 OAK RIDGE PKWY
    AUSTELL,GA30168
    NONE   UNRESTRICTED 1,000
    HABITAT FOR HUMANITY
    2010 CYPRESS ST
    VALDOSTA,GA31601
    NONE   SPECIAL PROJECTS - DONATION 50,000
    MIMS KIDS INC
    225 TIFT AVE N
    TIFTON,GA31794
    NONE   UNRESTRICTED 11,650
    KAPPA ALPHA PSI FRATERNITY INC
    1500 N PATTERSON ST
    VALDOSTA,GA31698
    NONE   SCHOLARSHIPS 500
    VECA
    1605 AZALEA DR
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 1,400
    WINNERSVILLE COMMUNITY CENTER
    PO BOX 2615
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 1,000
    TOYS FOR TOTS
    PO BOX 1005
    VALDOSTA,GA31603
    NONE   UNRESTRICTED 500
    GEORGIA BOYS STATE INC
    1500 N PATTERSON ST
    VALDOSTA,GA31698
    NONE   UNRESTRICTED 10,000
    AZALEA CITY PRISON MINISTRY
    7566 CO RD 84
    QUITMAN,GA31643
    NONE   UNRESTRICTED 10,000
    BROOKS COUNTY HIGH SCHOOL
    1801 MOULTRIE HWY
    QUITMAN,GA31643
    NONE   BC3 SCHOLARSHIP FUND 1,500
    SOUTH GEORGIA STATE COLLEGE
    100 W COLLEGE PARK DR
    DOUGLAS,GA31533
    NONE   UNRESTRICTED 10,000
    VALDOSTA NORTH ROTARY CLUB
    3500 COUNTRY CLUB RD
    VALDOSTA,GA31605
    NONE   UNRESTRICTED 2,500
    AMERICAN LEGION AUXILIARY POST
    1301 WILLIAMS ST
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 3,000
    PAUL ANDERSON YOUTH HOME
    1603 MCINTOSH
    VALDOSTA,GA30474
    NONE   UNRESTRICTED 3,000
    LOWNDES COUNTY 4H
    2102 E HILL AVE
    VALDOSTA,GA31601
    NONE   UNRESTRICTED 3,450
    CHILDREN'S ADVOCACY CENTER
    200 W MOORE ST
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 10,000
    GEORGIA FOUNDATION OF AGRICULTURE
    1620 BASS RD
    MACON,GA31210
    NONE   UNRESTRICTED 7,500
    POPES MUSEUM PRESERVATION
    192 POPES STORE RD
    OCHLOCKNEE,GA31773
    NONE   UNRESTRICTED 2,500
    LAKE PARK ELEMENTARY SCHOOL
    604 W MARION AVE
    LAKE PARK,GA31636
    NONE   UNRESTRICTED 500
    VALDOSTA HIGH SCHOOL FFA
    4590 INNER PERIMETER RD
    VALDOSTA,GA31602
    NONE   UNRESTRICTED 1,000
    Total .................................bullet 3a 3,872,586
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
            1,698,732
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aINTEREST INCOME FROM NOTE R
            947,384
    bOTHER INCOME         178,066
    cOTHER INCOME         1,071,823
    dMISCELLANEOUS INCOME         5,852
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   787,361 3,901,857
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    4,689,218
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    HARLEY LANGDALE JR FOUNDATION INC
     
    Employer identification number

    58-6033293
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    HARLEY LANGDALE JR FOUNDATION INC
     
    Employer identification number
    58-6033293
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    JOHN W LANGDALE JR
    PO BOX 1088
     
    VALDOSTA, GA31603

    $ 114,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    HARLEY LANGDALE JR FOUNDATION INC
     
    Employer identification number

    58-6033293
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    HARLEY LANGDALE JR FOUNDATION INC
     
    Employer identification number

    58-6033293
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 1,250 1,250    

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 DepreciationSchedule
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    115 W BROOKWOOD DR - HOUSE 2015-11-17 153,000 23,048 S/L 39.0000 3,923 3,923    
    115 W BROOKWOOD DR - LAND 2015-11-17 20,000              
    HEATING/AIR SYSTEM 2016-06-03 3,700 3,452 200DB 7.0000 165 165    

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SEE ATTACHED 36,833,256 40,564,489

    TY 2021 LandEtcSchedule2
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
      156,700 30,589 126,111 146,111
      20,000   20,000  


    TY 2021 OtherExpensesSchedule
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    DUES & SUBSCRIPTIONS 2,135 2,135    
    INSURANCE 11,118 11,118    
    MISCELLANEOUS EXPENSES 5,700 5,700    
    OFFICE EXPENSE 4,011 4,011    
    REPAIRS & MAINTENANCE 535 535    
    SECURITY 258 258    
    UTILITIES 7,692 7,692    


    TY 2021 OtherIncomeSchedule2
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    INTEREST INCOME FROM NOTE REC 947,384 947,384  
    OTHER INCOME 178,066 178,066  
    OTHER INCOME 1,071,823 1,071,823  
    MISCELLANEOUS INCOME 5,852    


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BROKERS FEES 380,251 380,251    


    TY 2021 OtherReceivablesOfficersSch
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Travel Advance to Officers:  


    Item No. 1
    Borrower's Name THE LANGDALE COMPANY
    Borrower's Title N/A
    Original Amount of Loan 16900000
    Balance Due 27018560
    Date of Note 2015-04
    Maturity Date 1937-12
    Repayment Terms 23 YEARS
    Interest Rate 0.0335
    Security Provided by Borrower STOCK OF TLC
    Purpose of Loan A DISTRIBUTION OF DNI FROM ESTATE
    Description of Lender Consideration  
    Consideration FMV 27018560


    TY 2021 TaxesSchedule
    Name:
    HARLEY LANGDALE JR FOUNDATION INC
    EIN:
    58-6033293
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROPERTY TAXES 1,943 1,943    
    INCOME TAXES 161,285 161,285